Bliss Care and Training Ltd is a domiciliary care agency. This service provides personal care to people living in their own houses and flats. It provides a service to adults some of whom may have physical or learning disabilities. At the time of inspection one person was receiving support from this service.

This inspection took place on 19 June 2018 and was announced. 48 hours before the inspection we contacted the service to let them know that we will be coming to inspect them. We wanted to make sure that the registered manager would be available on the day of inspection.

This service has not previously been inspected.

At the time of the inspection the service had a registered manager. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Adult safeguarding procedures were in place for staff to follow to protect people from potential harm and abuse. Staff were required to undertake the necessary pre-employment checks to determine their suitability for the post before they started working with people. The service provided staff with guidance on how to minimise the risk of infection. The management team had systems in place to monitor any incidents and accidents occurring and took actions to prevent such events taking place in the future.

Staff’s training needs were assessed and monitored to ensure they had appropriate skills to support people as necessary. People had assistance to meet their dietary needs and requirements. Staff supported people to access health care professionals if they needed assistance to ensure their wellbeing. Staff had knowledge and applied the Mental Capacity Act 2005 (MCA) in practice which meant that people’s capacity to make their own decisions was supported as necessary. People’s care needs were assessed and based on their wishes.

Information about people’s culture, personal history and preferences was collected and available for staff to follow so they could provide effective care for people. Staff provided support that was respectful towards the people’s care needs and privacy. People had assistance to be as independent as possible and staff helped people to make choices about their daily activities.

People and their relatives had guidance on how to raise concerns and complaints should they have any. Care records had detailed information on people’s health conditions and the support they required to be safe. Family members felt confident to talk to the registered manager for making changes to their relative’s care plan if necessary.

The registered manager was in regular contact with the relatives to monitor care delivery. The registered manager was aware of when to notify the CQC about important incidents so they could ensure safe care for people. Staff felt supported by the registered manager when they required guidance and assistance. The service worked in partnership with other agencies to share information and good practice.